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Nebraska rates for HCPCS L2108

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.63 / $767.63 / $767.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.63 / $767.63 / $996.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.94 / $1,163.74 / $1,175.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.15 / $1,324.08 / $1,324.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.01 / $1,546.71 / $2,041.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.97 / $1,320.21 / $6,344.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.28 / $600.52 / $1,000.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.21 / $1,324.08 / $1,828.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.84 / $1,586.91 / $2,727.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.37 / $600.52 / $903.69